SAMUEL BURLESON (NPI# 1649627225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649627225 |
| Entity Type | Individual |
| Full Name | SAMUEL BURLESON |
| Credential | D.C. |
| Practice Address |
125 Blue Heron Dr Ste B Montgomery TX 77316-3183 |
| Practice Telephone | 9365820404 |
| Practice Fax Number | 9365820410 |
| Mailing Telephone | 9365820404 |
| Mailing Fax Number | 9365820410 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13208 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427469311 | Samuel Lucas Burleson | Emergency Medicine | 619 19th St S, Birmingham, AL 35249 | 2014-05-13 |
| Street Address |
125 BLUE HERON DR STE B |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77316-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861815342 | Reese Ochoa | Chiropractor | 125 Blue Heron Dr Ste B, Montgomery, TX 77316 | 2014-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940494 | Alliance Mri Woodforest LLC | Clinic/Center | 750 Fish Creek Thoroughfare, Suite 180, Montgomery, TX 77316 | 2020-04-07 |
| 1457997058 | Kristynik Eye Care Pllc | Optometrist | 791 Fish Creek Thoroughfare, Suite 50, Montgomery, TX 77316 | 2019-11-19 |
| 1710532684 | Knee Scooters Houston LLC | Durable Medical Equipment & Medical Supplies | 9937 Chestnut Ct, Montgomery, TX 77316 | 2019-08-07 |
| 1134772270 | Sandstone Medical | Clinic/Center | 795 Fish Creek Thoroughfare Ste 270, Montgomery, TX 77316 | 2019-07-18 |
| 1356801195 | Woodforest Fine Dentistry | Clinic/Center | 791 Fish Creek Thoroughfare Ste 40, Montgomery, TX 77316 | 2019-03-20 |
| 1467923169 | Jody Michele Reed | Counselor | 6360 Honea Egypt Rd, Montgomery, TX 77316 | 2018-12-06 |
| 1811490949 | Gregory Crocker | Chiropractor | 125 Blue Herron Dr Suite B, Montgomery, TX 77316 | 2018-03-15 |
| 1114302122 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2180 Woodforest Parkway N, Montgomery, TX 77316 | 2015-07-21 |
| 1518376698 | Jennifer Miller Hobock | Dentist | 2300 Woodforest Pkwy N, Ste 700, Montgomery, TX 77316 | 2014-08-04 |
| 1285721613 | Emmett Sterling Huff IIi | Emergency Medicine | 119 Monterrey Pines Drive, Montgomery, TX 77316 | 2006-10-06 |
| Find all providers in zip 77316 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841820438 | Aj Marshall Wellness, LLC | Chiropractor | 17099 Walden Rd Ste 100, Montgomery, TX 77356-3249 | 2020-01-22 |
| 1780169235 | Michael Kent Garner | Chiropractor | 11374 Grand Pine Dr, Montgomery, TX 77356-2404 | 2018-10-01 |
| 1811490949 | Gregory Crocker | Chiropractor | 125 Blue Herron Dr Suite B, Montgomery, TX 77316 | 2018-03-15 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| 1164888194 | Jessica Torres | Chiropractor | 212 Webster St, Montgomery, IL 60538-1324 | 2016-01-06 |
| 1861815342 | Reese Ochoa | Chiropractor | 125 Blue Heron Dr Ste B, Montgomery, TX 77316 | 2014-02-04 |
| 1821425158 | Sally Braids Lucce | Chiropractor | 153 Ward St, Montgomery, NY 12549-1112 | 2013-10-01 |
| 1225464977 | Robin Kathleen Rivers | Chiropractor | 418 Trace Way Dr, Montgomery, TX 77316-6852 | 2013-09-25 |
| 1699034090 | Montgomery Neck and Back Pain Center | Chiropractor | 4171 Lomac St, Suite A, Montgomery, AL 36106-2945 | 2012-05-07 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77316 |
Please comment or provide details below to improve the information on SAMUEL BURLESON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.